Are you a new client? Below is all the information you need to review and complete prior to your first appointment. If you have questions, please contact us.
Forms & Applications
If you are a new client with private insurance, please print and complete the “Client Information – Private Insurance” packet. If you are a new client with Medicaid insurance, please print and complete “Client Information – Medicaid Insurance” packet. If you are a new sliding scale client, please print and complete the “Client Information – Sliding Scale” packet.
- Private Insurance Client Packet
- Medicaid Insurance Client Packet
- Bariatric Evaluation Form (WALI)
- Sliding Scale Client Packet
- Sliding Scale Application
Related Links for more help.
The Life Crisis Center (LCC) is a local nonprofit 501(c)(3) organization serving the Lower Eastern Shore of Maryland. 24 hours a day.
The Cricket Center’s main objective is to reduce trauma to child victims by bringing all necessary local agencies together.